Individual provider Active NPI

Christina Dawn Tinsley

  • Family Nurse Practitioner
  • Okmulgee, OK
National Provider Identifier
1841848975
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0095897 Issued in OK
Practice address
1200 S Belmont Ave
Okmulgee, OK 74447-6310
Phone
(918) 710-4260
Fax
(918) 403-6331
NPI assigned
Sep 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0095897 OK Primary

Addresses

Primary practice location

1200 S Belmont Ave
Okmulgee, OK 74447-6310

Mailing address

1200 S Belmont Ave
Okmulgee, OK 74447-6310
Phone (918) 710-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326002181 OK Practitioner - Nurse Practitioner 0941639975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0095897OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Mar 23, 2020 Accepting new patients
St. John Physicians, Inc. CurrentSince Mar 16, 2020 Accepting new patients
Omni Medical Group Inc CurrentSince Sep 18, 2021 Accepting new patients

Locations

220 S Elm St
Ste 200
Jenks, OK 74037
Phone (918) 403-7144

4300 W Memorial Rd
Fl 2
Oklahoma City, OK 73120
Phone (405) 341-8150

1200 S Belmont Ave
Okmulgee, OK 74447
Phone (918) 710-4260

1919 S Wheeling Ave
Ste 402
Tulsa, OK 74104
Phone (918) 748-7877

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1919 S Wheeling Ave
Ste 600
Tulsa, OK 74104
Phone (918) 634-7500

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1841848975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S BELMONT AVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476310",
            "telephone_number": "918-710-4260",
            "fax_number": "918-403-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S BELMONT AVE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476310",
            "telephone_number": "918-710-4260",
            "fax_number": "918-403-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "CHRISTINA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0095897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

Verify at the official NPI Registry.